Journal of Obsessive-Compulsive and Related Disorders最新文献_第4页

Treatment outcomes across OCD symptom dimensions in internet-delivered cognitive behaviour therapy: A routine care evaluation 网络认知行为治疗中强迫症症状维度的治疗结果：一项常规护理评估

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jocrd.2025.100937

Alison Mahoney , Aaron Chu , Christine Shiner , Michael Millard , Vlasios Brakoulias

Clinical presentations of obsessive-compulsive disorder are heterogeneous. While Internet-based cognitive behaviour therapy (iCBT) is an efficacious treatment for OCD symptoms as a whole, it is unclear if iCBT is effective across different OCD symptom profiles. This study evaluated iCBT outcomes across four common OCD symptom dimensions in 2136 adults undertaking treatment in routine care. At pre-, mid- and post-treatment, participants completed a measure of OCD symptom dimensions, as well as measures of depression, psychological distress, and disability. The most common primary OCD symptom dimensions were unacceptable thoughts (reported by 660 participants, 30.9% of the sample) and responsibility for harm (n = 461, 21.6%). Primary contamination (n = 388, 18.2%) and symmetry symptoms (n = 270, 12.6%) were less common, as were multiple primary OCD dimensions (n = 357, 16.7%). iCBT was consistently associated with large effect size reductions in individuals’ most severe presenting OCD symptoms regardless of the type of symptom dimension (gs = 1.45–1.62). iCBT was also associated with significant reductions in overall OCD symptoms (g = .99), depression (g = .70), distress (g = .90) and disability (g = .44). Findings suggest that common OCD symptom dimensions are responsive to standard iCBT and that iCBT should continue to be recommended and prescribed in routine clinical care settings.

强迫症的临床表现是多种多样的。虽然基于互联网的认知行为疗法（iCBT）整体上是一种有效的强迫症治疗方法，但目前尚不清楚iCBT是否对不同的强迫症症状有效。本研究评估了在常规护理中接受治疗的2136名成年人的四个常见强迫症症状维度的iCBT结果。在治疗前、中期和治疗后，参与者完成了强迫症症状维度的测量，以及抑郁、心理困扰和残疾的测量。最常见的主要强迫症症状维度是不可接受的想法（660名参与者报告，占样本的30.9%）和对伤害的责任（n = 461, 21.6%）。原发污染（n = 388, 18.2%）和对称症状（n = 270, 12.6%）较少见，多重原发强迫症维度（n = 357, 16.7%）较少见。无论症状维度的类型如何，iCBT始终与出现最严重强迫症症状的个体的大效应量降低相关（gs = 1.45-1.62）。iCBT还与总体强迫症症状（g = 0.99）、抑郁（g = 0.70）、痛苦（g = 0.90）和残疾（g = 0.44）的显著减少有关。研究结果表明，常见的强迫症症状维度对标准iCBT有反应，iCBT应继续在常规临床护理环境中推荐和处方。

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引用次数: 0

Inference-based CBT versus CBT with exposure and response prevention for obsessive-compulsive disorder: The role of pre-treatment anxiety and feared consequences on treatment outcome 基于推理的CBT与CBT对强迫症的暴露和反应预防：治疗前焦虑和恐惧后果对治疗结果的作用

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jocrd.2025.100936

Imke J. Sonneveldt , Nadja Wolf , Anton J.L.M. van Balkom , Louis van Enckevort , Claire R. van Genugten , Mirjam Kampman , Patricia van Oppen , Annemieke van Straten , Marieke B.J. Toffolo , Henny A.D. Visser

Objective

Traditional cognitive behavioral therapy (CBT) and inference-based CBT (I-CBT) are both effective interventions for obsessive-compulsive disorder (OCD). However, only about half of the patients seem to benefit sufficiently from these treatments. This study investigated whether pre-treatment anxiety and feared consequences (of not performing compulsions) predict OCD treatment outcome and whether these potential predictors have differential effects between CBT and I-CBT.

Method

Data from a previously completed randomized controlled trial were analyzed. A total of 197 patients were randomly assigned to CBT or I-CBT. The primary outcome was OCD symptom severity, assessed with the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) at posttreatment, 6-month and 12-month follow-up. Predictors included pre-treatment anxiety, using the Beck Anxiety Inventory (BAI), and feared consequences, using the Fixity of Belief Questionnaire (FBQ), both assessed at baseline. Linear mixed models analyses were performed while controlling for Y-BOCS baseline scores.

Results

Higher BAI scores and having no feared consequences did not significantly predict higher Y-BOCS scores, nor were the effects moderated by treatment condition. A substantial 40% of participants reported having no feared consequences.

Discussion

Pre-treatment anxiety severity and feared consequences did not predict worse treatment outcomes. These findings suggest that highly anxious patients and those without feared consequences of not performing their compulsions could benefit equally from both CBT and I-CBT.

目的传统认知行为疗法（CBT）和基于推理的认知行为疗法（I-CBT）都是治疗强迫症（OCD）的有效手段。然而，只有大约一半的患者似乎从这些治疗中充分受益。本研究调查了治疗前焦虑和恐惧后果（不执行强迫行为）是否能预测强迫症的治疗结果，以及这些潜在的预测因素在CBT和I-CBT之间是否有不同的效果。方法对先前完成的随机对照试验数据进行分析。共有197名患者被随机分配到CBT或I-CBT组。主要结局是强迫症症状严重程度，在治疗后、6个月和12个月的随访中用耶鲁-布朗强迫症量表（Y-BOCS）评估。预测因子包括治疗前焦虑（使用贝克焦虑量表（BAI））和恐惧后果（使用信念固定性问卷（FBQ）），两者均在基线进行评估。在控制Y-BOCS基线评分的情况下，进行线性混合模型分析。结果较高的BAI评分和无恐惧后果并不能显著预测较高的Y-BOCS评分，也不受治疗条件的影响。多达40%的参与者报告没有担心后果。讨论治疗前焦虑的严重程度和恐惧的后果并不能预测更差的治疗结果。这些发现表明，高度焦虑的患者和那些不担心不执行强迫行为后果的患者可以从CBT和I-CBT中同样受益。

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引用次数: 0

Executive functioning in trichotillomania and skin picking disorder: A review of neurocognitive findings 拔毛癖和抠皮障碍的执行功能：神经认知研究综述

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jocrd.2024.100919

Kathryn E. Barber , Han-Joo Lee

Trichotillomania (TTM; hair pulling disorder) and excoriation disorder (skin picking disorder [SPD]) are obsessive-compulsive spectrum disorders with potential neurobiological underpinnings. Neuroimaging studies implicate frontal-striatal circuitry, suggesting executive functioning deficits. This brief review summarizes existing neuropsychological research on TTM and SPD within three domains of executive functioning: inhibition, shifting, and updating. Current evidence consistently indicates that both TTM and SPD are characterized by impaired response inhibition. Some studies in TTM show deficits in mental shifting abilities, while findings in SPD are mixed. Updating is inconsistently impacted in TTM and remains largely unstudied in SPD. Limitations of existing literature include small sample sizes, methodological variations, and few studies in SPD. Future research should examine executive functioning in TTM and SPD across different contexts and repeated measures to improve reliability and generalizability of findings. Overall, executive functioning in TTM and SPD warrants continued investigation, as it may assist in enhancing our understanding of the cognitive mechanisms underlying these disorders.

拔毛发癖(TTM;拔毛症)和抓皮症（扒皮症[SPD]）是一种强迫症，具有潜在的神经生物学基础。神经影像学研究暗示了额纹状体回路，提示执行功能缺陷。本文从执行功能的抑制、转移和更新三个方面对TTM和SPD的神经心理学研究进行了综述。目前的证据一致表明，TTM和SPD都以反应抑制受损为特征。一些关于TTM的研究显示了精神转移能力的缺陷，而关于SPD的研究结果则喜忧参半。更新对TTM的影响不一致，对SPD的影响很大程度上尚未研究。现有文献的局限性包括样本量小、方法变化和SPD研究较少。未来的研究应该在不同的背景下检查TTM和SPD的执行功能，并重复测量以提高研究结果的可靠性和普遍性。总的来说，TTM和SPD的执行功能值得继续研究，因为它可能有助于加强我们对这些疾病背后的认知机制的理解。

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引用次数: 0

Associations between emotion regulation, symptom severity, and affect in obsessive-compulsive disorder 强迫症患者情绪调节、症状严重程度和影响之间的关系

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jocrd.2024.100934

Nicola Hohensee , Claudia Bischof , Fanny Alexandra Dietel , Nadja Klein , Philipp Doebler , Ulrike Buhlmann

Previous cross-sectional, retrospective studies have shown associations between dysfunctional emotion regulation (ER) and obsessive-compulsive (OC) symptoms. No studies to date have, however, used intensive longitudinal designs to assess the theoretically proposed, yet empirically understudied dynamic relations between momentary OC symptoms, affect, and ER. Up to six times a day across six days, n = 68 individuals with OCD and n = 43 mentally healthy controls reported engagement-oriented and avoidance-oriented ER strategies, self-perceived ER effectiveness, negative and positive affect, and OC symptoms. We investigated associations between ER behavior and current outcomes (i.e., affect or symptoms in the moment) as well as subsequent outcomes (i.e., 1–2 h later). Results showed that higher-than-usual self-perceived ER effectiveness was associated with higher current positive affect and lower current negative affect and OC symptoms. Use of avoidance-oriented ER strategies was also partly associated with less beneficial outcomes. Effects for engagement-oriented ER strategies were mostly non-significant, except from a negative association with subsequent OC symptoms. All other associations with subsequent outcomes did not reach statistical significance. One possible explanation may be the overall low endorsement of ER strategies across groups. Future studies with varying study designs are needed. Constraints on generality and possible clinical implications are also discussed.

以前的横断面、回顾性研究表明，功能失调的情绪调节（ER）与强迫症（OC）症状之间存在关联。然而，到目前为止还没有研究使用密集的纵向设计来评估理论上提出的，但实证研究不足的瞬时OC症状、影响和ER之间的动态关系。在6天内，每天多达6次，n = 68名强迫症患者和n = 43名心理健康对照者报告了参与导向和回避导向的ER策略、自我感知的ER有效性、消极和积极影响以及OC症状。我们调查了急诊行为与当前结果（即当下的影响或症状）以及后续结果（即1-2小时后）之间的关系。结果表明，高于正常水平的自我知觉内情效能与高电流的积极情绪和低电流的消极情绪以及OC症状相关。使用回避导向的内情策略也与较少的有益结果部分相关。除了与随后的OC症状负相关外，参与导向的ER策略的效果大多不显著。所有其他与后续结果的关联均无统计学意义。一种可能的解释是，各群体对急诊策略的总体认可度较低。未来的研究需要不同的研究设计。对一般性的限制和可能的临床意义也进行了讨论。

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引用次数: 0

The significance of growing up in a hoarded home: Using natural language processing to examine the experiences of adult children of hoarding parents on Reddit 在一个囤积的家庭中长大的意义：使用自然语言处理来检查Reddit上囤积父母的成年子女的经历

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jocrd.2025.100938

Oskar Kocol , Isaac Sabel , Kiara R. Timpano , Jessica R. Grisham

Emerging research suggests individuals who grew up in a hoarded home may face ongoing challenges in life. Yet little is known about the unique struggles and support needs of this vulnerable group. This study aimed to address this gap by analyzing content from a large international community of adult children of hoarding parents (COHP) on Reddit using a two-pronged natural language processing approach. Findings from an open-coding thematic analysis revealed a high prevalence of “vent” and “question” post types on the COHP forums, and a comparison with another subforum indicated that COHP may face some challenges that exceed the normative difficulties that come with caring for elderly parents. Topic modeling suggested that the experiences of COHP could be summarized into eleven main themes, which we labeled 1) unresolved past, 2) present ramifications, 3) hygiene and hazards, 4) own hoarding tendencies, 5) relationship conflict, 6) small victories, 7) crisis-related support, 8) emotional triggers, 9) psychoeducation about hoarding, 10) young adults escaping the cycle, and 11) managing gifts and belongings. Overall, our findings confirm the significant psychological and practical challenges faced by COHP, and lay the groundwork for future research, interventions, and advocacy efforts tailored to this overlooked population.

最新的研究表明，在一个拥挤的家庭中长大的人可能会在生活中面临持续的挑战。然而，人们对这一弱势群体的独特挣扎和支持需求知之甚少。本研究旨在通过使用双管齐下的自然语言处理方法，分析Reddit上一个由囤积父母成年子女组成的大型国际社区的内容，从而解决这一差距。开放式编码专题分析的结果显示，COHP论坛上“发泄”和“问题”帖子类型的流行率很高，与另一个分论坛的比较表明，COHP可能面临一些挑战，这些挑战超过了照顾老年父母的规范性困难。主题建模表明，COHP的经历可以总结为11个主题，我们将其标记为：1)未解决的过去，2)现在的后果，3)卫生和危害，4)自己的囤积倾向，5)关系冲突，6)小胜利，7)危机相关支持，8)情感触发，9)关于囤积的心理教育，10)年轻人摆脱循环，11)管理礼物和物品。总体而言，我们的研究结果证实了COHP面临的重大心理和实际挑战，并为未来针对这一被忽视人群的研究、干预和宣传工作奠定了基础。

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引用次数: 0

Stigmatizing attitudes and endorsement of coercive interventions for hoarding 对囤积的污名化态度和强制干预的认可

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jocrd.2024.100933

Persephone Larkin , Simon B. Sheppard , Christiana Bratiotis , Sheila R. Woody

Hoarding disorder is a stigmatized condition, but little research has examined the attitudes of professional service providers who encounter hoarding in homes they enter as part of their work. These providers have essential roles in identifying and intervening with hoarding, but the degree to which they hold stigmatizing attitudes has not been studied. Using an online questionnaire, the present study sought to compare hoarding service providers with non-professionals along several dimensions of hoarding stigma: blame, desire for social distance, stereotypes about incompetence, and the endorsement of coercive treatment methods were examined. Overall, members of the professional sample endorsed less blame and desire for social distance from hoarding clients. However, the samples did not differ in beliefs about the incompetence of hoarding clients or endorsement of coercive methods in hoarding interventions. Stigmatizing attitudes about mental illness in general consistently predicted hoarding stigma in both samples. Providers who expressed more professional confidence in working with hoarding endorsed less blaming attitudes and less desire for social distance, but providers who work in more enforcement-oriented roles endorsed desire for more social distance from hoarding clients. This study provides a first glimpse at hoarding-related stigma among professional service providers, and further insight into the general public's perception of hoarding relative to other mental illnesses. Findings about the predictors of hoarding stigma provide potential directions for anti-stigma interventions.

囤积症是一种耻辱的疾病，但很少有研究调查那些在工作中遇到囤积症的专业服务提供者的态度。这些提供者在识别和干预囤积行为方面发挥着重要作用，但他们持有的污名化态度的程度尚未得到研究。通过一份在线问卷，本研究试图比较囤积服务提供者和非专业人士在囤积耻辱的几个方面：指责，渴望社会距离，对无能的刻板印象，以及对强制治疗方法的认可。总体而言，专业样本的成员认为，与囤积客户保持社交距离的人较少受到指责和渴望。然而，样本对囤积客户的无能或对囤积干预的强制方法的认可的看法没有差异。在两个样本中，对精神疾病的污名化态度总体上一致地预测了囤积污名。那些在治疗囤积症方面表现出更专业信心的医生赞同更少的指责态度和更少的社交距离，但那些更注重执法的医生赞同与囤积症患者保持更大社交距离的愿望。这项研究首次揭示了专业服务提供者中与囤积相关的耻辱感，并进一步深入了解了公众对囤积与其他精神疾病的看法。有关囤积病耻感的预测因素的发现为抗病耻感干预提供了潜在的方向。

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引用次数: 0

An effectiveness study of intensive outpatient treatment for OCD 强迫症强化门诊治疗的有效性研究

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jocrd.2024.100931

Emily K. Juel , Kate Rogers , Sandra Hadlock , Nicholas S. Myers , Joseph B. Friedman , Maya E. Tadross , Jonathan S. Abramowitz

While obsessive-compulsive disorder (OCD) is often responsive to treatments like serotonin reuptake inhibitors (SRIs) and cognitive-behavioral therapy (CBT) with exposure and response prevention (ERP), many patients remain unresponsive or relapse after discontinuation. Intensive outpatient programs (IOPs) offer a solution for those needing more support than standard outpatient care, but not requiring the extensive supervision of residential treatment. The present effectiveness study evaluated the outcome of an IOP delivered to a large sample of adults and children with OCD in-person and via telehealth. Results indicated substantial symptom reduction (over 50%) in both formats. Greater baseline severity predicted greater improvement, but no other variables moderated the effects of treatment. These findings demonstrate the effectiveness of IOPs in providing substantial symptom relief for individuals with OCD in both in-person and telehealth formats. Implications for bridging the science-practice gap are discussed.

虽然强迫症（OCD）通常对5 -羟色胺再摄取抑制剂（SRIs）和带有暴露和反应预防（ERP）的认知行为疗法（CBT）等治疗有反应，但许多患者在停药后仍无反应或复发。强化门诊项目（IOPs）为那些需要比标准门诊护理更多支持的患者提供了解决方案，但不需要对住院治疗进行广泛的监督。目前的有效性研究评估了对大量强迫症成人和儿童患者当面和通过远程医疗进行IOP治疗的结果。结果显示两种治疗方式均显著减轻症状（超过50%）。更大的基线严重程度预示着更大的改善，但没有其他变量缓和治疗的效果。这些发现证明了IOPs在面对面和远程医疗形式中为强迫症患者提供实质性症状缓解的有效性。讨论了弥合科学与实践差距的意义。

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引用次数: 0

Phenomenology of incompleteness and harm avoidance in obsessive-compulsive disorder: An experience sampling study 强迫症的不完全性现象学与伤害回避：经验抽样研究

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jocrd.2025.100935

Christina Puccinelli , Karen Rowa , Andrew M. Scott , Laura J. Summerfeldt , Randi E. McCabe

This study used experience sampling methodology to explore the phenomenology of the core motivations in obsessive-compulsive disorder (OCD), harm avoidance (HA) and incompleteness (INC), and their influence on the experience of OCD. Fifty participants with a primary OCD diagnosis completed four questionnaires daily for five days about a recent obsessive-compulsive experience and its underlying motivations. A cluster analysis revealed four motivation profiles: high HA/INC, moderate HA/INC, high HA/low INC, and high INC/low HA, with most individuals endorsing a blend of both motivations. On average participants’, HA and INC were stable across the study period. However, participants varied in how their scores changed over time, suggesting potential state-level fluctuations. Both motivations were associated with the interpretation of long-lasting distress related to a particular obsessive-compulsive experience, HA predicted increased beliefs of future harm, and INC was associated with reduced beliefs that the experience meant something negative about themselves. Behaviourally, HA was associated with avoidance, reassurance seeking, and thought suppression, whereas INC was associated with compulsions and reduced likelihood of doing nothing. HA and INC both contribute to how OCD is experienced, although they appear to do so through distinct cognitive and behavioural pathways, offering potential targets for tailored interventions.

本研究采用经验抽样方法，探讨强迫症（OCD）的核心动机、伤害回避（HA）和不完整（INC）的现象学特征及其对强迫症体验的影响。50名初步诊断为强迫症的参与者在五天内每天完成四份问卷，内容涉及最近的强迫症经历及其潜在动机。聚类分析显示了四种动机：高HA/INC、中等HA/INC、高HA/低INC和高INC/低HA，大多数人支持两种动机的混合。平均而言，参与者的HA和INC在整个研究期间是稳定的。然而，参与者的得分随时间变化的方式各不相同，这表明可能存在州一级的波动。这两种动机都与解释与特定强迫经历相关的长期痛苦有关，HA预测未来伤害的信念增加，INC与减少对经历意味着对自己不利的信念有关。在行为上，HA与回避、寻求安慰和思想抑制有关，而INC与强迫和减少无所事事的可能性有关。HA和INC都有助于强迫症的经历，尽管它们似乎是通过不同的认知和行为途径实现的，为量身定制的干预提供了潜在的目标。

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引用次数: 0

Factor structure and measurement invariance of the Penn Inventory of Scrupulosity-Revised (PIOS-R) across Christian, Jewish, and Muslim groups 基督教、犹太教和穆斯林群体的Penn审慎性量表（PIOS-R）的因素结构和测量不变性

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jocrd.2024.100930

Fiona C. Ball , Anna M. White , Johanna A. Younce , Kevin D. Wu

The revised Penn Inventory of Scrupulosity (PIOS-R) is widely used. Support for its factor structure is mixed across either a two-factor or a bifactor model. Normed on a primarily Christian sample, researchers use the PIOS-R to examine scrupulosity across religious groups. This study's primary aims were to clarify the PIOS-R's factor structure in a religiously diverse sample and determine whether the PIOS-R shows measurement invariance across religious groups. A secondary aim was to evaluate psychometric properties. U.S. participants (N = 718) who self-reported as Christian, Jewish, or Muslim were recruited using MTurk. Multiple group CFA indicated that a two-factor solution comprised of Fear of God (FOG) and Fear of Sin (FOS) provided the best-fitting model. Configural, metric, and scalar invariance held across religious groups. Internal consistency was strong for the full scale (ω_t = .96) and both FOS (ω_t = .95) and FOG (ω_t = .92) subscales. The PIOS-R was more strongly correlated with DOCS Scrupulosity (r = .71) than with DASS-21 Depression (r = .58), DASS-21 Anxiety (r = .66), or a measure of religiosity (SCSRFQ; r = .36), supporting relative discriminant validity. The PIOS-R appears appropriate for assessing scrupulosity within and among these religious groups.

修订后的Penn清单（PIOS-R）被广泛使用。对其因素结构的支持在双因素或双因素模型中混合。研究人员主要以基督教为样本，使用PIOS-R来检查宗教团体的诚信。本研究的主要目的是澄清PIOS-R在不同宗教样本中的因素结构，并确定PIOS-R是否在不同宗教群体中表现出测量不变性。第二个目的是评估心理测量特性。美国参与者（N = 718）自称是基督徒、犹太人或穆斯林，他们是通过MTurk招募的。多组CFA表明，由对上帝的恐惧（FOG）和对罪恶的恐惧（FOS）组成的双因素解决方案提供了最佳拟合模型。构型、度量和标量不变性跨越宗教团体。完整量表（ωt = 0.96）、FOS （ωt = 0.95）和FOG （ωt = 0.92）子量表的内部一致性很强。与DASS-21抑郁（r = 0.58）、DASS-21焦虑（r = 0.66）或宗教虔诚度(SCSRFQ；R = 0.36)，支持相对区别效度。PIOS-R似乎适合于评估这些宗教团体内部和之间的审慎程度。

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引用次数: 0

Psychometric properties of the Yale-Brown obsessive-compulsive scale, second edition, self-report (Y-BOCS-II-SR) 耶鲁-布朗强迫症量表（第二版）自我报告的心理测量特征

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jocrd.2024.100932

Karen Rowa , Andrew Scott , Eric A. Storch , Wayne K. Goodman , Randi E. McCabe , Martin M. Antony

The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) is the gold-standard tool for measuring obsessive compulsive symptom severity. An updated second edition was introduced to address limitations of the original instrument, with both clinician-administered and self-report versions. No published studies have examined the psychometric properties of the self-report version, which is the purpose of the current study. Individuals with a diagnosis of obsessive-compulsive disorder (OCD, N = 67) completed the clinician-administered and self-report Y-BOCS-II, as well as a number of other self-report measures assessing obsessive-compulsive symptoms, depression, and impairment from symptoms in a counterbalanced order. Results suggest an internally consistent measure (α = .90) that has strong convergent validity with measures of OCD symptoms including the clinician-rated Y-BOCS-II, but only moderate correlations with the Obsessive-Compulsive Inventory-Revised. The self-report version also demonstrated fair discriminant validity. A reliable change index of 8 was found for this measure, which was associated with a large effect size following cognitive-behavioral therapy for OCD. Limitations include a predominantly White and female sample. The self-report version of the Y-BOCS-II appears to be a psychometrically reasonable measure for use with individuals with OCD though its ability to discriminate OCD from other disorders characterized by anxiety or depression requires further study.

耶鲁-布朗强迫症量表（Y-BOCS）是衡量强迫症状严重程度的黄金标准工具。引入了更新的第二版，以解决原始仪器的局限性，包括临床管理和自我报告版本。没有发表的研究检验了自我报告版本的心理测量特性，这是当前研究的目的。被诊断为强迫症（OCD, N = 67）的个体完成了由医生管理和自我报告的Y-BOCS-II，以及许多其他自我报告测量，以平衡的顺序评估强迫症症状、抑郁和症状损害。结果表明，一个内部一致的测量方法（α = 0.90）与包括临床评定的Y-BOCS-II在内的强迫症症状测量方法具有很强的收敛效度，但与强迫症量表修订版只有适度的相关性。自我报告版本也表现出公平的区别效度。该测量的可靠变化指数为8，这与强迫症认知行为治疗后的大效应大小有关。局限性包括以白人和女性为主的样本。Y-BOCS-II的自我报告版本似乎是一种心理计量学上合理的测量方法，用于强迫症患者，尽管它区分强迫症与其他以焦虑或抑郁为特征的疾病的能力需要进一步研究。

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引用次数: 0